The Scottish Mail on Sunday

Scandal of private health sharks overchargi­ng their patients by up to £12,000

- By Anna Hodgekiss

PATIENTS who pay for private surgery are falling victim to massive price variations of up to £12,000 for the same procedure. A report by medical industry experts shows that depending on the provider and location, the quoted price of a total hip replacemen­t ranges from £8,945 to £14,880, while a commonly performed varicose vein procedure can cost anything from £1,995 to £4,340.

However, a Mail on Sunday investigat­ion has found that patients are often being charged several times this amount, with one woman quoted £15,000 for a vein operation.

There can even be a near £1,500 difference in the cost of simple back pain injections, and the bill for cataract surgery can almost double from one place to another.

The figures relate to the amounts that self-pay patients – rather than those having procedures covered by private insurance – are having to fork out for treatment.

An increasing number of desperate Britons are being forced to self-pay as NHS rationing cuts deeper and waiting lists grow ever longer. More than four million people are currently waiting for NHS surgery – the highest figure since 2007 – according to the NHS.

And in October it was revealed that patients in Northern Ireland are waiting up to three years for an initial consultati­on about having surgery, following a GP referral.

The report, published by Private Healthcare UK, predicts that the self-pay market will surge over the next five years.

The Mail on Sunday also reported last month that record numbers of Britons are shelling out up to £15,000 for vital operations after being told they must wait for I months by NHS hospitals. N total, patients are forking out £623million a year for self-pay treatment. They are cashing in ISAs or pensions, taking out loans and even ‘maxing out’ credit cards to fund treatment they should have had sooner on the NHS.

Experts are urging private patients to shop around after the report – which gathers data that providers are now obliged to publish – found alarming difference­s in prices.

For example, the bill for an injection of local anaestheti­c and steroids for back pain ranges from £950 to £2,370, while a knee replacemen­t can cost anything from £8,750 to £15,410. Meanwhile, the quoted guide price of cataract surgery for one eye varies across the UK from £1,850 to £3,350.

The report highlights that the cheapest providers are specialist centres – day surgery centres for procedures such as steroid injections, veins and optical surgery – as opposed to private hospitals offering a range of services.

Some providers, including Spire and Nuffield Health, have prices that vary so much that they are often listed as both the cheapest and most expensive option, depending on the location of their centre.

For example, the highest bill for cataract surgery is found at Nuffield’s hospital in Exeter, where the procedure costs £3,350 for one eye. Yet the cheapest provider in south-east England is the company’s Chichester hospital, where the same op costs £2,090.

Keith Pollard, chief executive of Private Healthcare UK, said the figures emphasised the need for stringent research before committing to any hospital or clinic.

‘There has always been a wide variation in pricing,’ he explained. ‘But companies are now being ordered by the Government to publish their prices on their websites.’ When asked about the huge disparity in pricing, Nuffield Health said: ‘Our prices vary according to surgeon and anaestheti­st fees and local market conditions.’ Spire Healthcare refused to comment.

Mr Ian Eardley, vice-president of the Royal College of Surgeons, said many desperate patients who did not fit the criteria for NHS treatment were now opting to go private if they could afford it.

‘There are some elective procedures, such as hip and knee replacemen­ts, where patients are being denied access due to local NHS policy.

‘They may be told to go away and lose some weight before they are eligible,’ he said.

‘With procedures such as varicose veins, cosmetic appearance is no longer enough to get surgery.

‘You must be at risk of developing other symptoms, such as painful ulcers, in order to be considered eligible on the NHS.’

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